title: Intraoperative frozen pathology during robot-assisted laparoscopic radical prostatectomy: can ALEXIS™ trocar make it easy and fast?
abstract: OBJECTIVE
  To describe the first series of robot-assisted laparoscopic radical prostatectomy (RALP) using the ALEXIS™ trocar device when removal of the specimen is necessary for intraoperative frozen-section pathology.
  
  
  METHODS
  Consecutive RALP using the ALEXIS were prospectively catalogue. Perioperative data, including preoperative oncologic diagnosis, operative time, estimated blood loss (EBL), size of incision for umbilical trocar, complications related to trocar, and length of hospital stay, were analyzed.
  
  
  RESULTS
  One hundred twenty-eight patients were analyzed. The mean operative time was 216 minutes, mean time to trocar placement was 4 minutes, and mean EBL was 172 mL. The incision size for a trocar was 2-3 cm in 117 patients and 1 incisional hernia was observed. The mean hospital stay was 3 days and mean follow-up was 4 months.
  
  
  CONCLUSIONS
  The ALEXIS trocar provides an easy and fast intraoperative removal of the specimen for frozen pathology during RALP, even for large prostates. Safe and cosmetic results with a low intraoperative complication rate are acquired with the wound retractor.
authors.affiliation: 1 Division of Urology, European Institute of Oncology (IEO) , Milan, Italy .
authors.forename: Gilberto Laurino
authors.initials: GL
authors.lastname: Almeida
authors.forename: Gennaro
authors.initials: G
authors.lastname: Musi
authors.forename: Federica
authors.initials: F
authors.lastname: Mazzoleni
authors.forename: Deliu Victor
authors.initials: DV
authors.lastname: Matei
authors.forename: Antonio
authors.initials: A
authors.lastname: Brescia
authors.forename: Serena
authors.initials: S
authors.lastname: Detti
authors.forename: Ottavio
authors.initials: O
authors.lastname: de Cobelli
mesh_terms: D000368:Aged; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011467:Prostate / Q000601:surgery; D011468:Prostatectomy / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D011471:Prostatic Neoplasms / Q000601:surgery; D012371:Robotics / Q000379:methods*; D013525:Surgical Instruments